Organization
NICOLE L. CHRISTY DDS PC
Active
Other names
Bourbon Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE LYNN CHRISTY D.D.S. (OWNER)
(574) 342-4385
Entity
Organization
Contact information
Practice address
909 N WASHINGTON ST, BOURBON, IN 46504-1447
(574) 342-4385
(574) 342-0461
Mailing address
909 N WASHINGTON ST, BOURBON, IN 46504-1447
(574) 342-4385
(574) 342-0461
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/27/2006
Last updated
07/15/2008
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